Prostate Cancer Forum - Method to Determine 2nd Biopsy? + Strange "other"
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Method to Determine 2nd Biopsy? + Strange "other"

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Medical Questions-> Health Forums -> Prostate Cancer -> Method to Determine 2nd Biopsy? + Strange "other"
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freedivetim

New User, Becoming EHEALTHy
Joined: 16 Jul 2006
Posts: 1
Method to Determine 2nd Biopsy? + Strange "other"
Posted: 07-16-06 12:03pm

Hi,

47 yr, white male with father onset history of pca at age 63. My recent psa test showing 4.8 vs. The 2.4 level taken 10 months previously at my 1st psa test, so velocity is scary. Subsequent, 2nd lab free vs total psa was taken and confirmed again the 4.8 total psa and showed 11% free psa. Urologist performed biopsy (18 truss guided) with high yield samples ie> all usable samples at pathologist evaluation showing no cancer with a low grade pin on one sample (urologist says this is nothing). My prostate volume is 40cc and pushing up into my bladder. I'm athletic 175lbs. And 5'10" with minor symptoms over past 1-2 years prior . Post urination dribbling, sporadic painful ejaculating, 50% reduced ejaculate volume, but mostly minor issues and did not alarm me. In fact , 2nd psa test was only done at md physical, as I have had other serious but unexplained health concerns developing last year (extreme fatigue, confirmed vision loss, heavy joint aches, stiff muscles, light dizziness ongoing, increasing memory loss...Remember, i'm very fit and I feel like something's big wrong ) gp says all test "other" so far are normal except psa and that he tested for broad spectrum of issues including thyroid, autoimmune response, rumitoid, ect.

After negative pca biopsy md has placed me on avodart (dutasteride) for 6-8 weeks as "troubleshooting tool" with follow-up psa test to determine if 2nd prostate biopsy is needed. He claims that psa should reduce by approx. 50% after 6 weeks and if it remains high, then pca is again highly suspected, hence the second biopsy ? Cannot find any literature on this concept.

Dutasteride links claim that it reduces psa (undefined value) even in presents of pca but times say 4-6 months for reaction time, so i'm getting confused about goal here. Any validation or feedback on this method and any comments of the other symptoms I noted ie, could they be pca related or other ? Feedback is greatly appreciated.
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sandyallen

Extremely EHEALTHy
Joined: 02 Feb 2004
Posts: 4580

Posted: 07-16-06 12:36pm

Have you thought about getting a second or either a third opinion. I live with several medical situations and some of them although I am not a dr I should not be living with if the dr's would have diagnosed them earlier. Too many dr's do not understand what it is like living with all of these discomforts , but they are happy to get the money. I do hope you find out what is going on soon and never be afraid to ask a dr what he is saying, that is what he is being paid for. Maybe someone else here can answere your question better.
All the best!
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techperson

New User, Becoming EHEALTHy
Joined: 09 Sep 2006
Posts: 2
Your Other Symptoms
Posted: 09-11-06 05:49am

Although you have not posted a follow-up, I assume the 2nd biopsy showed no prostate cancer, yes?

Your other symptoms rang a bell for me - have you been tested for an hhv-6 infection? Many doctors miss this one, as it is not a part of standard blood tests. Hhv-6 causes red blood cells to clump, lowering their ability to carry oxygen.

Prostate cancer grows in a low-oxygen, acidic cell environment. You can directly attack the oxygen and acidity issues - see www.Beat-prostate-cancer.N et - but if you have an hhv-6 infection, you need to clear that first. The university of hawaii has a protocol for it, as one way it can be transmitted is by eating red snapper caught in the pacific.
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